Author: Dr. Clemens

Uncategorized Published - 17 October, 2014    By - Dr. Clemens
Anesthesia Management: Paraplegia following lumbosacral steroid epidural injections

Published in Journal of Clinical Anesthesia (JCA) (Sep 2014) Authors: AbdeleRahman K, Rakocevic G; Spinal cord ischemia is a rare but possible neurological complication following routine conservative treatment of lumbosacral radiculopathy. A case of a 46 year old woman with chronic L5 radiculopathy, who developed spinal cord ischemia following epidural steroid injection, is reported. Two […]

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Uncategorized Published - 17 October, 2014    By - Dr. Clemens
Anesthesia Management: Opioid Prescription Should Include Risk Assessment

When Steven Passik, PhD, slipped on the ice earlier this year and tore his supraspinatus tendon, he needed rotary cuff surgery and was given a prescription for opioids to deal with the pain — no questions asked. “They didn’t ask me who I am or what I do; they didn’t ask me a single question […]

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Uncategorized Published - 17 October, 2014    By - Dr. Clemens
Anesthesia Management: How to Be Way More Productive

Wake Up With More Energy Many people feel tired in the morning not because they didn’t sleep enough but because they have low blood sugar. You can minimize this by consuming a tablespoon or two of unsweetened almond butter before you go to sleep. It’s a very simple way to stabilize your blood sugar. (I’ve […]

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Uncategorized Published - 16 October, 2014    By - Dr. Clemens
Anesthesia Management: DEA Rules Tramadol A Schedule IV Drug

The Drug Enforcement Administration (DEA) has officially changed tramadol from a non-classified drug to a Schedule IV substance under the Controlled Substances Act, effective Aug. 18, 2014. This change was published in the Federal Register (2014;79:37624). Ever since the FDA approved tramadol for the management of chronic pain in 1995, there has been an ongoing […]

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Uncategorized Published - 16 October, 2014    By - Dr. Clemens
Anesthesia Management: Post-Op Surgical Ward Pneumonia Cut by More Than 40%

A postoperative pneumonia prevention program for patients in the surgical ward nearly halved the incidence of the condition, California researchers have found. The program, at the VA Palo Alto Health Care System, emphasized ongoing education for nurses, pneumonia prevention, coughing and deep-breathing exercises with an incentive spirometer, twice-daily oral hygiene with chlorhexidine, walking and sitting […]

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Uncategorized Published - 16 October, 2014    By - Dr. Clemens
Anesthesia Management: Team Creates Protocol for Handling OR Emergencies

The worst moments in the operating room, according to surgeon David Earle, MD, are the quiet ones that settle in during intraoperative emergencies, when seconds drag on for minutes and minutes for hours. “Anyone involved in a surgical procedure knows those times, particularly when the patient is bleeding, the room is quiet, and the team […]

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Uncategorized Published - 16 October, 2014    By - Dr. Clemens
Anesthesia Billing and Collections: Early Palliative Care Shows Survival Benefit

This is for our readers who treat cancer patients. Expanding the evidence that palliative care has measurable clinical benefits in cancer patients, a new randomized study has found that patients who receive palliative care starting soon after the cancer diagnosis have a reduced risk for death at one year compared with patients whose palliative care […]

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Uncategorized Published - 16 October, 2014    By - Dr. Clemens
Anesthesia Management: 4 Surprising Skills All Successful People Require

I wanted to share this with our readers so they can all be success in life not just their medical practice. There are all sorts of skills that can contribute to success. But these 4 are critical. Without them, you’ll never make it. Want to be successful? You have to start with you. So much […]

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Uncategorized Published - 15 October, 2014    By - Dr. Clemens
Anesthesia Management: Updated ‘Tool Kit’ to Prevent Opioid Overdose

As another weapon in the war against drug abuse, doctors are being encouraged to prescribe the opioid antagonist naloxone when they first treat a patient with methadone or oxycodone. This recommendation was included in the new overdose “tool kit” released by the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency of the US […]

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Uncategorized Published - 15 October, 2014    By - Dr. Clemens
Anesthesia Management: Does the type of anesthetic agent affect remifentanil effect-site concentration for preventing endotracheal tube-induced cough during anesthetic emergence? Comparison of propofol, sevoflurane, and desflurane.

Published in J Clin Anesth. 2014 Sep;26(6):466-74 Authors: Lee JH et al STUDY OBJECTIVE: To investigate whether the type of anesthetic agent administered affects the antitussive effect of remifentanil. DESIGN: Prospective randomized study. SETTING: Operating room of a university hospital. PATIENTS: 78 ASA physical status 1 and 2 women, aged 20 to 65 years, who […]

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